1. Setting the scene – the local picture in Camden and Islington Christine Harding Health Professional Engagement Facilitator - Camden March 2016

2. Cancer in the UK

3. In 2013, 280,000 new diagnoses in the UK 80,000 additional cases in 2030 Incidence of cancer is increasing by approx 1.7% per year

4. More than one in four deaths (29%) were caused by cancer in the UK in 2011 http://www.cancerresearchuk.org/cancer-info/cancerstats/mortality/all-cancers- combined/#Cancer4http://www.cancerresearchuk.org/cancer-info/cancerstats/mortality/all-cancers- combined/#Cancer4. Original Data Sources: Office for National Statistics * Except males aged 15-24 Cancer is the leading cause of death from illness in every age group

5. Cancer survival If England’s cancer survival rates were the same as the European average, 5,000 lives would be saved every year and 10,000 if England was same as best in Europe.

6. Why do you think survival is lower in the UK?

7. Does stage of diagnosis have an effect on survival?

9. Survival rates are improving: half of people with cancer now survive 10 or more years

10. Cancer in Camden & Islington Cancer incidence rate – is lower in Camden and higher in Islington, compared to England  4,003 people living in Camden have had a diagnosis of cancer 2014-15  On average, 824 people were diagnosed with cancer in Camden each year 2010-2012  The most common cancers in Camden are breast, prostate, bowel and lung cancer.  3,478 people living in Islington have had a diagnosis of cancer. 2014-15  On average 711 people were diagnosed with cancer in Islington each year 2010-2012  The most common cancers in Islington are breast, bowel, lung and prostate cancer. Significantly lower incidence of breast cancer in Islington than England Higher incidence of lung cancer in Islington (although not significantly different) Significantly lower incidence of urological cancer in Camden than England

11. Cancer is the biggest cause of premature death in Camden and Islington (under 75s) Lung cancer is the biggest cause of cancer death, followed by bowel and breast cancer Camden Islington Cancer deaths by cancer type 2011-13 Mortality in Camden

12. 1 year cancer survival by CCGs – all cancers

13. Your local population

14. Age

15. Deprivation 24% of Camden’s Lower Super output areas (LSOAs) are in the 20% most deprived nationally Index of multiple deprivation 2010

16. Ethnicity Nearly 35% of Camden’s and 31% of Islington’s overall population are estimated to be from a minority ethnic background. The Black and minority ethnic population in Camden and Islington is young which highlights the opportunity for improving health through preventative services In seven of Camden’s wards, Bangladeshis form the largest minority group. 42% of people living in Finsbury Park (registered with a GP) classify themselves as BME (this is highest in Ilsington) The most commonly spoken languages after English are: in Camden - Bengali (13%), French (8%) and Spanish (6%); in Islington - Turkish (3%), Bengali, Somali, Spanish (each 2%) and French (1%)

18. Is there anything about your populations which could have an impact on early diagnosis of cancer?

19. The good news!

20. S The Stage at Diagnosis metric shows the proportion of 10 cancers diagnosed in each quarter that are recorded as presenting as an early stage case, i.e., stage 1 or 2 as opposed to stage 3, 4, or unknown – Time Trend Source: Camden CCG Feb 2016

21. The Emergency Presentation metric shows the estimated proportion of all malignant cancers which present as an emergency – Time Trend Source: Camden CCG Feb 2016

22. Your local services signposting patients

23. Where are the drop in services for cervical smears? Archway Sexual Health Clinic Archway Centre 681-689 Holloway Road London N19 5SE t: 02033 175252 (appointments and enquiries) Crowndale Health Centre Women's Health Services Crowndale Health Centre 59 Crowndale Road London NW1 1TN t: 02033 172402 Hunter Street Health Centre 8 Hunter Street London WC1N 1BN t: 02033 172345 f: 02075 304301 Margaret Pyke Centre 73 Charlotte Street London W1T 4PL t: 02033 173737 Finsbury Health Centre Pine Street London EC1 0JH t: 02075 304200 Angel Medical Practice 34 Ritchie Street London N1 0DG t: 02078 371663

24. Where do women go for breast screening ? Camden - Kentish Town Health Centre Islington - The Whittington Hospital